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Topic: Medical Lecture and Lessons (Read 14965 times)

You're so welcome, Priscilla. Anything I have learned, am always happy to share. We're all in this together. Knowledge and information is key--especially when it comes to health and medicine. Teaching and sharing people about medical conditions only increases their understanding of possible effects, conditions and consequences.

So to begin the lecture on Pharmacology, I begin in explaining the treatment of Glaucoma. What is glaucoma? it is a medical condition in which there is a blockage of the canal of schlem, leading to a blockade of Aqueous Humor of the eye.

The drugs Rivastigmine, Tacrine and Donepezil have been proven to be effective against Alzheimer's.

The biochemistry of these drugs in their treatment of AS is the fact that they are ACHE-inhibitors. That means these 3 drugs are acetylcholine esterase inhibitors. These drugs prevent the breakdwn of acetylcholine by the enzyme acetylcholine esterase. Due to this, it leads to the retention of a high ACH concentration within the brain, due to these 3 drugs' ability to cross the Blood-brain barrier.

It has been proven, medically, that intake of these 3 drugs have led to positive results regarding the treatment of the debilitating disease known as Alzheimers.

However, there are major and significant side effects. These include:CNS sequelae (nausea, vomitting, dizziness)Diarrhea, abdominal pain, alteration of liver function and damage.

INTERESTING!

We, in the medical community, have found the cure for Alzheimer's. To God be The Glory!

Thank you so much Pare for sharing to us your medical knowledge through TB. This is a kind way and very informative. Genetically, I am a stroke candidate. My Father died after having his 4th stroke, it was a long fight during the period of ten years. I have my daily HB medications and undergo medical check-up every now and then.

Sigi ha, be my home Physician if you will be having your future private clinic in Valencia, okey?

Go Pharmacology! If you have questions, please feel free to post and ask questions.

Dear Pare,Every quarter, must have to see my Eye Dr. for "eye pressure measure"....I have a constant high rate at about 19 to 23 both eyes but got no medications yet instead have to submit every year an OKT examination - they called it "Optische Koharenz Tumographie"- to control my visual nerves (so far, it is still okey) this kind examination is quite expensive in which my medicare pays only the so called "ocular fundus eye examination" which is yearly done too. I got only Eye drops against eye dryness.I am taking 5 mg HB tablet and I also take 1 aspirin daily in which I think it's not bad . But am also taking a 5 mg. hormon tabs which contradicts and lead to have a higher eye pressure, right?I've been planning to exchange my two cats against a guide dog as I told to my Eye Dr.

I am working during nightime and using PC, expose to dust and fluorescent lights. Do you think this is one of the reason why I have this eye disorder? My Physician just suggested...to have a successive check-up in which I really do. Sus....unsaon nalang ug adto nako sa Bohol magpuyo. Lisod!

You have very interesting questions considering your eyes and I will try to answer your questions to the best of my knowledge.

If it is in your history that you have high blood pressure that results you to take blood pressure medications, as well as taking blood thinners--any generic brand will do: Aspirin will do well. It is necessary. As for taking estrogen pills--it is necessary--as you are taking this for your night flashes, am i I right?

In any measure, pare, the reason for your raised intraocular pressure is probably due to a blockade of your canal of schlemm, which is preventing the drainage of the aquous humor that is located in the anterior and posterior ciliary body. This blockade can be easily treated by taking vasodilatory medications such as pirenzapine and or timolol and said generics.

Vasodilation means = Expanding and dilating the vascular blood vessels in your body--meaning you increase the canal of schlemm in your eye--therefore increases filtering and decreasing the intraocular pressure.

Additionally, vasodilatory drugs can have excellent effects for high blood patients, as it will lead to a decrease in Total Peripheral Pressure (TPR). Vasodilation will expand the blood vessels--meaning that more blood will be retourned to the heart via venous flow---therefore meaning less pressure on the heart to pump oxygenated blood. Due to the decrease in TPR, this will--naturally--lead to a decrease in BP (blood pressure). This is effective for tachychardic patients (high heart activity---too much of which will cause a Cardiac Failure: heart attack) So we are adviced to utilize this.

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The examination that your opthalmologist or optomistrist is giving you is nothing but what we call here in the USA as COCT scan (Cranial-Optical Computed Tomography Scan). CT scan can better observe and analyze any blockage in blood vessels in around your craniofacial region pertaining to your eyes---to diagnose what can cause the increased pressure or any optical nerve damage.

It will be expensive, pare, as CT scans--even here int he USA is expensive. But it is excellent preventative measure---as CT scans are far more accurate than the old X-RAY methodology--which was once used 20-30 years ago.

Now, we medical students are adviced to utilize CT scans---as it is far more effective and accurate in analysis.

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So my advice to you is to take to your physician about possible treatment for glaucoma/ either open angle form. Ask him about medications that can be used to aleviate IOP (intra-ocular-pressure).

Though I am very confident that any of the following medical drugs can alleviate your problem:

Just write down these 5 possible treatment options, and give this to your ophthalmologist and he will know what to do. Good luck pare. And remember---taking and eat alot of Vitamin A. Vitamin A is helpful for the produciton of Rods, Rhodopsin and Cones in our eyes. It is necessary for good sight.

Pare, that is very true about moving back to countries like the Philippines--and the province of Bohol---with medical facilities that are not so effective as say in Germany and the West. It is a reality that we must take into consideration.

My parents always talk about going back to Bohol and retiring there; but I always protest because considering the medical stuation and the poor health facilities in Bohol that cannot compare to the health care and medical provisions here in the United States of America. And the superb benefits that they have as medical care workers.

It is a reality that I advice them and remind them.

It is always oportune for us to remember and keep in mind, especially our medical situation and history.

I am honored that you find it informative. Yes, I learned alot and would like to share some information with you guys---that is otherwise not available openly. I hope and wish only to share with others--so that they can have a better understanding of their own medical complications, and their bodily limitations.

I am reminded everday as I enter the medical classroom, as there is a large plaque in the student auditorium that proclaims:"You are a Physician In Training. Physician Yourself, and Physician others. You are here to serve, for the betterment of mankind and society as a whole. So Serve."

WOW! You've got the right diagnose and my good Professor/Eye Dr. never explained to me as perfect and accurate as you did. Thank you very much, dear Pare. I keep noted all those types of possible treatment. Next consultation... I must have to get a clear diagnose. The last time, (it is a great joint practice medical-clinic) been examined from 5 different Physicians since from the start....All I heard: It could be that I am a kind of person who can tolerate having a "high eye pressure". Not really something frightening as they said but I keep on searching that this kind of diagnose is 100% ground for blindness. I underwent 2x laser theraphy (gibuslotan ahong iris man siguro to) I forgot the medical term (it lowered only up to 19 each eyes), Also morang dihay gisuksok sa ahong canal man siguro to sa mata, kana bitaw na-ay gamay kaajo nga buslot diin giingon nga mahilis ra kuno tong gisungsong. Already three times that I submitted that one day 4x interval eye pressure measurement. So far, it is a must to visit my Dr. 3very quarter especially that since 4 years I have an additional eye discomfort "Eyes migrane" A zic-zac lightning especially if I am exposed to sunlight. Pastilan Pare.....it is not easy getting tigolsna gjod. The first COCT they made, the diagnose was alarming than that r second time result ... it seems that it is getting better without any medications and/or eye drops against Glaucoma. This is the reason why I am ordered to be examined every 3 months. Basta...I feel like under studied. And this COCT is the best way for a better diagnose and prevention as my Dr. said. Yes, COCT is originated from US and sorry to say that the German government imposed a restriction to our (Health Insurance Fund) not to pay other modern way of examination for a sake of illness prevention. Ex: An Osteoporosis patient with a legal medicare membership can not anymore expect to receive any free receipt payment unless until it is proven that he/she has a bone fracture. Makapungot and it is getting worser! It seems that we are copying everything from the States. Sorry! So much for today, I thank you for listening my physical complaints. Hope to hear you in my next visit in your virtual practice. God bless you and have a nice day!

Hello, Pare, yes pare I understand your situation. I am sorry lang to hear the medical situation over there in Germany is becoming more like over here in the states. That is the major problem over here, medically speaking, is that there is no universal health plan. 40 million people are not covered medically; majority of which are children and low-income families.

My personal remark on that is that we should have at least have a basic universal health care plan. Basic coverage at least. Like the one in Canada or the UK.

To fellow medical colleagues, friends, fellow listeners, and all persons interested in this thread.

Please know that I have not forgotten about this thread. I just have been so busy with reviews. I will make a video on Anti-Hypertensive Drugs and conditions relating CCF and CHF. [Congestive cardiac failure and Chronic Heart Failure]

It will cover the following:1. Etiology of the disease2. Possible Drug candidates3. Drug Mode of Action/ Mechanism of Action4. Indications of Drugs5. Adverse Effects of Drugs/ Side Effects

---Due to the shear workload I am having, my constancy in video making has been limited, and am only able to go online at night or during medical breaks. So let me apologize lang if i have not posted videos for a while, please note that i have not forgotten this thread. I promise i shall make a doubly great video. hehe.

Again, I want to reiterate: If any of you have any questions, a query of a medical condition, possible drug treatments, action etc, just please jot it down and ask lang. I would love to try to answer it to the best of my limited knowledge. Or if i do not know, i will ask my medical professors and seek their advise and recommendation---and then share it in here.

All questions, all interests, are welcome here. Remember, when it comes to medicine and health, there is no such thing as 'second choice'. It is very important.

Your Friend and Colleague, Bran Lorenzo

PS. Keep me and my batchmates in your prayers, I ask. We need the hand and grace of God to be with us--especially in this most crucial of times. Thanks, guys.

In regards to treating schizo patients, or patients with psychotic disorders, it is best to provide them with any anti-dopaminergic agonists/dopamine antagonists. Lithium salts would do well, but do watch out for extrapyramidal side effects.

I'll provide more about this in a video that will combine anti-psychotics/neuroleptic drug treatment.

Thanks for all the views, and the comments on my page. to those who messaged me on questions, I will provide more vids. I promise.